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Indiana rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $76.95 / $171.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.96 / $142.66 / $179.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.50 / $117.91 / $143.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $18.60 / $105.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $24.55 / $102.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.44 / $129.52 / $195.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $124.54 / $186.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.00 / $249.00 / $527.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.48 / $159.16 / $258.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.35 / $171.79 / $278.11